Abstract
The purpose of this article is to identify, factors that could be associated to the establishment of the country's health policy for users of alcohol and other drugs in 2003. It makes particular use of semi-structured interviews, as well as a study of the literature and documents. The article shows that the Brazilian State's approach to alcohol and drugs emerged in the early 20th century with the creation of a legal and institutional apparatus designed to control the sale and use of drugs, justified by the need to assure public security and public health. This apparatus permitted the development of healthcare practices for drug users based on the penalties it proposed. The article concludes that even though the rationales behind legal and public health measures do not always coincide, some of the practices that emerged in the legal sphere did help provide the conditions needed for the creation of a health policy for alcohol and drug users in Brazil in 2003.
Highlights
MACHADO, Ana Regina; MIRANDA, Paulo Sérgio Carneiro
The article shows that the Brazilian State’s approach to alcohol and drugs emerged in the early 20th century with the creation of a legal and institutional apparatus designed to control the sale and use of drugs, justified by the need to assure public security and public health. This apparatus permitted the development of healthcare practices for drug users based on the penalties it proposed
The article concludes that even though the rationales behind legal and public health measures do not always coincide, some of the practices that emerged in the legal sphere did help provide the conditions needed for the creation of a health policy for alcohol and drug users in Brazil in 2003
Summary
Departamento de Medicina Preventiva e Social da Faculdade de Medicina da Universidade Federal de Minas Gerais Rua Divinópolis, 263, ap.301. The article shows that the Brazilian State’s approach to alcohol and drugs emerged in the early 20th century with the creation of a legal and institutional apparatus designed to control the sale and use of drugs, justified by the need to assure public security and public health This apparatus permitted the development of healthcare practices for drug users based on the penalties it proposed. Esse atraso remete a dois aspectos que caracterizam a história das intervenções dos governantes brasileiros na área de álcool e outras drogas: as abordagens, intervenções e políticas foram original e predominantemente desenvolvidas no campo da Justiça e da segurança pública; e as dificuldades para o enfrentamento dos problemas associados a consumo de álcool e outras drogas, na agenda da saúde pública.. Essa política propõe uma nova abordagem, não mais comprometida com o controle e com a repressão, mas sim com a redução dos danos e dos prejuízos
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